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HomeMy WebLinkAbout49058_BAXTER, JOHN_20070622❑CAMA / ❑ DREDGE & FILL fl� GENERAL PERMIT Previous permit# ❑New ❑Modification ❑Complete Reissue ❑Partial Reissue C Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resources and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ❑ Rules attached. Applicant Name Project Location: County Address Street Address/ State Road/ Lot #(s) , City State , ZIP Phone # O Fax # O Subdivision Authorized Agent City ZIP Affected ❑ Cw ❑ EW ❑ PTA ElES ❑ PTS Phone # River Basin AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A El PWS: ❑ FC: Adj. Wtr. Body nat /man /unkn) i I` _ ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body Type of Project/ Activity Pier (dock) length Platform(s) Finger pier(s) Groin length number Bulkhead/ Riprap length avg distance offshore max distance offshore Basin, channel cubic yards Boat ramp Boathouse/ Boatlift r Beach Bulldozing Other Shoreline Length SAV: not sure yes no. Sandbags: not sure yes no Moratorium: n/a yes no Photos: yes no Waiver Attached: yes no A building permit may be required by: Notes/ Special Conditions Agent or Applicant Printed Name Signature Please read compliance statement on back of permit Application Fee(s) Check # (Scale: ) D See note on back regarding River Basin rules. Permit Officer's Signature l j Issuing Date n `Expiration Date Local Planning Jurisdiction Rover File Name Statement of Compliance and Consistency This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become null and void. This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The applicant certifies by signing this permit that 1) prior to undertaking any activities authorized by this permit, the applicant will confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian landowner(s) . The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available information and belief, certifythatthis project is consistentwith the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: ❑ Tar- Pamlico River Basin Buffer Rules ❑ Neuse River Basin Buffer Rules ❑ Other: If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules for the River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of Water Quality. Contact the Division of Water Quality at the Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215) for more information on how to comply with these buffer rules. Division of Coastal Management Offices Raleigh Office Mailing Address: 1638 Mail Service Center Raleigh, NC 27699-1638 Location: 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 Fax:919-733-1495 Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ 1-888-4RCOAST Fax: 252-247-3330 (Serves: Carteret, Craven, Onslow -above New River Inlet- and Pamlico Counties) Elizabeth City District 1367 U.S. 17 South Elizabeth City, NC 27909 252-264-3901 Fax:252-264-3723 (Serves: Camden, Chowan, Currituck, Dare, Gates, Pasquotank and Perquimans Counties) Washington District 943 Washington Square Mall Washington, NC 27889 252-946-6481 Fax: 252-948-0478 (Serves: Beaufort, Bertie, Hertford, Hyde, Tyrrell and Washington Counties) Wilmington District 127 Cardinal Drive Ext. Wilmington, NC 28405-3845 910-796-7215 Fax: 910-395-3964 (Serves: Brunswick, New Hanover, Onslow -below New River Inlet- and Pender Counties) Revised 08/09/06 • • • Authorized Agent Consent Agreement I � lF/j� Fib , hereby authorize F W y "6Al (� �9S i to act (Property Owner) (Authorized Agent) on my behalf in obtaining CAMA permits for the locations listed below. Jobsite Address: Ai C Property's Owner's Mailing Address: .fib 3 �044z-A P-6, OJ "/, N C- �s6z Property Owner's Signature: Authorized Agent Signature: Date: 4AID2 AUG-03-2005 WED 01 46 PM NC DIV OF COASTAL MGMNT FAX NO. 4 P.. 03 MAIL -IZ1+;) lJ1tN RL'C1AI`1' UE0TJYS D A1)J,\t' "NT RIPA1tT.AN PROI'FRTY NOTIFICATIOLNAVAIY'LR FOR NI hi,rnc or individual tr fplyinror permit:_v p �IA).._�``A'�T��' .--.-----.. h(ltllTSS of ln•ol)crty:-- (lot a at,cct �. atrcct ur rvad) - ( ty & County) 1 herclly cortify that I own property adjacent to the above referenced property. 'flit in(lividiml ;)pplying [or this permit has described to nic (as shown on the attached drawing=,) (hC dcvclopmcnt they ,ire proposing. A description or drawing, wiTh tlini(;nsions, should be provided with this IC(ter. - 7- I have no ohjeclions to this proposal. if ynrc have objections to what is being proposed, please )vrite the Division of Coastal Afanageineirt, .100 Corrrmerre Ave., Nforeher7d City, NC 28557 or call (252) 808-2808 within .10 (lays of receipt of this notice. No response is considered the same as no objection if yotr have been notified by Cerlifted Mail. WAIVER SECTION L uwlor.stand that a bier, deck, mooring pilings, breakwater, boathouse, lift or san(lbags must be sct back a minimum distance of 15' from my area of riparian access unless waived by inc- (1[ you wish ro waive the setback, you must iiiitial the appropriate blank below,) _ 1 do wish to waive tho 15' SCtback roquirtailent. I do not wish to waive the 15' setback requirement. 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